Individual provider · NPI-1

Bartu C Gray

Day Training/Habilitation Specialist · Glendale, AZ

NPI number1033731344
StatusActive
Last updated in NPPESMay 8, 2020

Details

NPI
1033731344
Entity type
Individual (NPI-1)
Name
Mr. Bartu C Gray
Sex
Male
Sole proprietor
Yes
Enumeration date
May 8, 2020
Certification date
May 8, 2020
Last updated
May 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

5205 W Thunderbird Rd Apt 2174
Glendale, AZ 85306-4859

Phone 480-799-9484

Mailing address

5205 W Thunderbird Rd Apt 2174
Glendale, AZ 85306-4859

Phone 480-799-9484

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